This form is to be completed by a parent/guardian of any child attending Rkids to allow us to better care for your children.
Date of Birth
1-2 years old
3 years old - Kindergarden
Grade 1 - Grade 4
Grade 5 - Grade 7
Name of Parent/Guardian
Has your child had any difficulties with the following:
Please give details/reaction type from any of the boxes selected above
I give permission for Resurgent Church to use my details to contact me/my child
I give permission for Resurgent Church to publish photos for my child in any printed material or on the church's website and social media pages.
I would like more information on Resurgent Church.
Parent/Guardian to Inital